| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,936 |
4,463 |
$243K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,269 |
3,934 |
$145K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
319 |
302 |
$5K |
| 99335 |
|
33 |
31 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
55 |
55 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
24 |
24 |
$1K |
| 92551 |
|
143 |
140 |
$976.05 |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
26 |
24 |
$798.67 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
29 |
29 |
$702.45 |
| 99349 |
|
14 |
13 |
$682.07 |
| 99443 |
|
14 |
14 |
$670.91 |
| 96127 |
|
145 |
141 |
$466.29 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
56 |
56 |
$404.74 |
| 99173 |
|
49 |
48 |
$72.27 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
275 |
254 |
$39.84 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
18 |
15 |
$23.65 |
| 90686 |
|
93 |
93 |
$0.00 |
| X5622 |
|
61 |
60 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
29 |
25 |
$0.00 |
| 90685 |
|
13 |
12 |
$0.00 |
| 90461 |
|
17 |
17 |
$0.00 |